Dementia

Question 1

Hisotry of Dementia

Answer 1

• 70 possible causes of dementia – “garbage can diagnose”
• Ancient origins – demens – Latin for “without mind”
• neurofibrils and plaques in the brain

Question 2

Dementia

Answer 2

• a syndrome, of a chronic and progressive nature with a decline in cognitive functions accompanied by deterioration in emotional control, language skills, and social behaviour.
• In most cases, the course is progressive and irreversible, and treatments are only minimally effective in slowing progression.

Question 3

Symptoms of dementia include:

Answer 3

disorientation, memory loss, impaired judgment, intellectual and social functioning, personality change, and shallow and labile effect

Question 4

6 early signs of dementia

Answer 4

1) Poor organization
2) Personality changes
3) Constipatioon
5) Sensory dysfunction
5) launge problmes
6) Inability to navigate well in new places

Question 5

Assessment strategies for a nurse to use

Answer 5

Might have to do assessment in 10minute incriments. Not everyone can sit doen for a 10 minute period
Accommodating physical impairments
Creating a warm and inviting atmosphere
Integrating verbal and non-verbal communication
Use all senses when assessing
Interviewing several people (collateral)
Assessing the entire time
Facilitating storytelling
Clarifying, verifying, and revisiting

Question 6

Dementia causes loss in..

Answer 6

Attention
Learning and memory
Language
Visual perception
Emotional regulation
Phrases showing a lack of variety in their desciptions is another signal
Labeling doors/cupboards
Spontsneously start to cry

Question 7

The need-driven dementia compromise behavior mode

Answer 7

behaviours occur due to an unmet need. A lot of agitation is due to a need to poop

Question 8

Cognitive developmental approach

Answer 8

Piagets development levels in reverse.

Question 9

Neurodevelopmental sequencing model

Answer 9

interventions match their level at that time

Question 10

Interventions Directed Toward the Person

Answer 10

Group activity
Reminiscence
Art
Pharmacological
Complementary and Alternative Therapies
Therapeutic Use of Touch
Activies
Doll Therapy
Video Respite
Simulated Presence Therapy
Meanigful life:
-productive activity
-leisue activity
-self care activity
-self care cognitive wellness

Question 11

Interventions Directed Toward the Environment

Answer 11

colour, locking doors, baby gates, music

Question 12

Antecedents to Agitation

Answer 12

Patient factors – cognitive impairment, sensory impairment, psysiological processes, personality, hx psychiatric dx, PAIN
Environmental factors -
Interpersonal relation factors – hx
Restraints or medication – pharmacological effects
Mediating factors….discomfort, unmet needs, and misinterpretation

Question 13

Interventions to manage agitation

Answer 13

Behavioral approach
Environmental modifications
Pharmacological approach